PMID- 24295645 OWN - NLM STAT- MEDLINE DCOM- 20150207 LR - 20220330 IS - 1876-4479 (Electronic) IS - 1873-9946 (Linking) VI - 8 IP - 6 DP - 2014 Jun TI - Tuberculosis infection following anti-TNF therapy in inflammatory bowel disease, despite negative screening. PG - 550-7 LID - S1873-9946(13)00397-8 [pii] LID - 10.1016/j.crohns.2013.11.008 [doi] AB - We present two patients with inflammatory bowel disease who, despite negative tuberculosis screening, developed a de novo tuberculosis infection after the start of anti tumor necrosis factor alpha treatment. We discuss current screening methods and their limitations, the approach after positive screening and the timing to resume anti-TNFalpha treatment after TB infection. We shortly mention the immune reconstitution inflammatory syndrome (IRIS), described in a few cases after the stop of anti-TNFalpha while treating the tuberculosis infection. We conclude with some remaining questions concerning tuberculosis in IBD patients. CI - Copyright (c) 2013 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved. FAU - Debeuckelaere, Celine AU - Debeuckelaere C AD - Department of Internal Medicine, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. FAU - De Munter, Paul AU - De Munter P AD - Department of Infectious Diseases, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. FAU - Van Bleyenbergh, Pascal AU - Van Bleyenbergh P AD - Department of Respiratory Division, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. FAU - De Wever, Walter AU - De Wever W AD - Department of Radiology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. FAU - Van Assche, Gert AU - Van Assche G AD - Department of Gastroenterology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. FAU - Rutgeerts, Paul AU - Rutgeerts P AD - Department of Gastroenterology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. FAU - Vermeire, Severine AU - Vermeire S AD - Department of Gastroenterology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium. Electronic address: Severine.Vermeire@uzleuven.be. LA - eng PT - Case Reports PT - Journal Article DEP - 20131202 PL - England TA - J Crohns Colitis JT - Journal of Crohn's & colitis JID - 101318676 RN - 0 (Antibodies, Monoclonal) RN - 0 (Tumor Necrosis Factor-alpha) RN - B72HH48FLU (Infliximab) SB - IM MH - Adult MH - Antibodies, Monoclonal/*adverse effects/therapeutic use MH - Colitis, Ulcerative/*complications/drug therapy MH - Crohn Disease/*complications/drug therapy MH - False Negative Reactions MH - Humans MH - Infliximab MH - Male MH - Middle Aged MH - Tuberculosis, Pulmonary/chemically induced/diagnosis/*etiology MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors OTO - NOTNLM OT - Anti-TNFalpha OT - Anti-tuberculous therapy OT - De novo tuberculosis OT - IBD OT - Immune reconstitution inflammatory syndrome OT - Screening EDAT- 2013/12/04 06:00 MHDA- 2015/02/11 06:00 CRDT- 2013/12/04 06:00 PHST- 2012/04/21 00:00 [received] PHST- 2013/11/07 00:00 [revised] PHST- 2013/11/08 00:00 [accepted] PHST- 2013/12/04 06:00 [entrez] PHST- 2013/12/04 06:00 [pubmed] PHST- 2015/02/11 06:00 [medline] AID - S1873-9946(13)00397-8 [pii] AID - 10.1016/j.crohns.2013.11.008 [doi] PST - ppublish SO - J Crohns Colitis. 2014 Jun;8(6):550-7. doi: 10.1016/j.crohns.2013.11.008. Epub 2013 Dec 2.